Active NPI
St Lukes Methodist Hospital
- Durable Medical Equipment & Medical Supplies
- Cedar Rapids, IA
National Provider Identifier
1104160746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ST LUKES METHODIST HOSPITAL
- Practice address
- 855 A Ave NE
Ste 110
Cedar Rapids, IA 52402-5060 - Phone
- (319) 369-5114
- Fax
- (319) 369-5115
- NPI assigned
- Nov 20, 2012
- Organization subpart
- Yes
- Parent organization
- ST LUKES METHODIST HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Milton E Aunan II
- Title
- Cfo/Vice President
- Phone
- (319) 369-7094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
855 A Ave NE
Ste 110
Cedar Rapids, IA 52402-5060
Mailing address
298 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1602
Phone (319) 369-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0474122 | Medicaid | IA |
Other names 1
- UNITYPOINT AT HOME - HOME MEDICAL EQUIPMENT
National Provider Directory
National Provider Directory- Part of
- Ekg Physician Serv
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380672000000",
"number": "1104160746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 BLAIRS FERRY RD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524021602",
"telephone_number": "319-369-8686",
"fax_number": "319-368-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 A AVE NE",
"address_2": "STE 110",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025060",
"telephone_number": "319-369-5114",
"fax_number": "319-369-5115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUKES METHODIST HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST LUKES METHODIST HOSPITAL",
"enumeration_date": "2012-11-20",
"last_updated": "2013-10-02",
"status": "A",
"authorized_official_last_name": "AUNAN",
"authorized_official_first_name": "MILTON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CFO/VICE PRESIDENT",
"authorized_official_telephone_number": "319-369-7094",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0474122",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UNITYPOINT AT HOME - HOME MEDICAL EQUIPMENT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.